Related Experiment Video
Updated: May 21, 2025
Cell-based Assay Protocol for the Prognostic Prediction of Idiopathic Scoliosis Using Cellular Dielectric Spectroscopy
Published on: October 16, 2013
Casting for early onset scoliosis in resource limited setting
Arjun Dhawale1,2, Shubhanshu Bhaladhare3, Akshay Gadia4
1Department of Orthopaedics and Spine Surgery, Bai Jerbai Wadia Hospital for Children, Mumbai, India. arjundhawale@hotmail.com.
Purpose:
Early onset scoliosis (EOS) surgery with growth rods has complications. While casting is an alternative, special frames and training are often unavailable. Our study evaluates a simple, reproducible casting technique for EOS using universally available equipment without a special casting table.
Methods:
27 children with EOS underwent serial casting with a simple technique using two standing stools, a Cervical Sayre traction kit, and a metal plate. Casts were changed every three to four months. Pre, post, and follow-up Cobb angles and complications were recorded. Patients were grouped into congenital (CS) and non-congenital (NCS) EOS and compared.
Results:
27 children (mean age 4.15 years) with EOS underwent 116 casting procedures (mean 4.29 casts/patient). Significant curve correction (63.85° to 33.8°) was noted (p < 0.05). NCS had better correction than CS post-first cast (p < 0.05). Complications included three dermatitis and one mild respiratory distress.
Conclusion:
The technique yielded results similar to those of traditional casting tables/frames and is ideal for resource-limited settings.
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